NPI | 1265096010 |
---|---|
Entity Type | Organization |
Authorized Contact | GINA MARIE BROWN Owner/Dermatologist 907-268-2067 |
Organization Subpart ? | No |
Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology |
Enumeration Date | 2019-04-26 |
Last Update Date | 2019-04-26 |